| NPI | 1942484811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 46027) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61202413) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL TPAN1806) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 148669) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61202413) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2023-09-14 |